SecureClaim version 2.0.118

Version: 2.0.118

Release Date: 10/09/25

Highlights

• As part of ongoing efforts to optimize the platform and improve the user experience, significant enhancements have been implemented across multiple areas of the system. These updates include new functionalities that automate previously manual processes, as well as specific improvements in the reconciliation area.
• These improvements are designed to streamline daily operations, reduce manual errors, and provide a smoother and more reliable experience within SecureClaim.
• Note: It is recommended to regularly clear your browser cache to improve the overall performance of the system. This action also helps ensure that files from recent or pending versions are downloaded correctly, making sure that implemented changes are properly reflected in the application.

Improvements

New Feature – Enable Payment Auto Finalization

• A new feature has been added to the insurer payment reconciliation area: Enable Payment Auto Finalization. This option allows the system to automatically finalize a claim once the necessary payments and adjustments have been recorded to balance it, provided the Enable Payment Auto Finalization option is enabled.

• This setting is activated from Application Settings and can be modified at any time. Since it is an application-level option, it applies to all users working in the reconciliation area. 

New Feature – Auto-Submission

• A new feature has been added to SecureClaim: Automatic File Submission and Receipt (Auto-Submission), which allows for the automatic scheduling of file transmissions to and from the Inmediata Clearinghouse. 

• To enable this feature, users must follow these steps:
  • Back Office > System Settings > Application Settings (or click the Settings button located in the top header)
  • In the General tab, locate the Automatic Send/Receive section, which has been updated to allow scheduling of automatic file transmission.
  • Configure the following parameters:
    • Time(s) at which the action should be executed
    • Action type:
      • Send and Receive
      • Receive Only

• This setting allows the system to automatically send invoices that are ready for transmission and receive responses from the Inmediata Clearinghouse without manual intervention.

• This feature is optional. If you choose not to use it, simply remove the previously configured settings and click the Save button to apply the changes. 

New Feature – Auto-Conversion

• A new feature has been added: Auto-Conversion. This tool transforms the way users manage encounters and claims, offering a more efficient, centralized experience without the need to navigate between multiple modules. 

• Automatic Conversion allows clinical encounters received to be automatically converted into claims. This eliminates manual steps and streamlines the workflow. 

• Additionally, the system automatically detects any discrepancies between the information recorded in the clinical encounter (EHR/EMR) and the data stored in SecureClaim, offering the user the option to update or correct the information before completing the conversion.

• To enable this feature, follow these steps:
  • Back Office > System Settings > Application Settings (or click the Settings button located in the top header).
  • In the Others tab, go to the Integrations section.
  • Check the box for Enable Encounters Auto-Conversion.

• Once enabled, the system will automatically convert clinical encounters into claims upon receipt.

• This functionality is optional. You can enable or disable it at any time from the same settings section.

Reconciliation Rules Update – Adjustments

• The Reconciliation Rules functionality has been updated, specifically in the Adjust Amount section, adding two new options for adjusting: total adjustment and partial adjustment.

• These options will be available as radio buttons on the interface.
  • The total adjustment option allows the adjustment to be applied to the entire net balance.
  • The partial adjustment option applies only to the amounts defined in the rule condition, including CAS Group and CAS Code.

This improvement provides greater flexibility when applying adjustments in the reconciliation process.

Payment Adjustments – Reconciliation Rules

• When executing a rollback of reconciliation rules, the system reverses any adjustments that were applied as a result of those rules. This means that the original claim adjustments, prior to the application of the rules, are automatically restored, returning the claim to its previous state. SecureClaim automatically applies adjustments for the following codes:
  • CO-105: Tax withholding
  • CO-223: Adjustment due to mandatory state and federal regulations
  • CO-253: Reduction due to federal payment garnishments
  • CO-144: Adjustment for incentives (e.g., preferred product or service)

• During the rollback process, these codes are temporarily removed. Once the rollback is completed, the system automatically reapplies the corresponding adjustments, ensuring consistency in the final state of the claim.

Data Optimization – Patients

• The handling of patient data has been optimized, significantly speeding up both administrative and clinical processes.

For assistance or additional information, please contact us through our chat service on;

portal.inmediata.com/chat or via email at cs@inmediata.com.

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